Provider Demographics
NPI:1679452544
Name:SANCTUARY IN THE CITY COUNSELING
Entity type:Organization
Organization Name:SANCTUARY IN THE CITY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:971-393-7172
Mailing Address - Street 1:9630 SW OMARA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-4929
Mailing Address - Country:US
Mailing Address - Phone:971-393-7173
Mailing Address - Fax:971-417-2095
Practice Address - Street 1:9630 SW OMARA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-4929
Practice Address - Country:US
Practice Address - Phone:971-393-7173
Practice Address - Fax:971-417-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty